A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2015 |
| Outros Autores: | , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| DOI: | 10.1371/journal.pone.0139487 |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/15198 |
Resumo: | Federal University of Grande Dourados. University Hospital. Dourados, MG, Brasil |
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Sgarbi, Renata Viebrantz EnneCarbone, Andrea da Silva SantosPaião, Dayse Sanchez GuimarãesLemos, Everton FerreiraSimionatto, SimonePuga, Marco Antonio MoreiraCastro, Ana Rita Coimbra MottaPompilio, Mauricio AntonioUrrego, JulianaKo, Albert IcksangAndrews, Jason RCroda, Julio2016-08-05T17:01:19Z2016-08-05T17:01:19Z2015SGARBI, R. V. E. et al. A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities. Plos One, v. 10, n. 10, p. e0139487, 2015.1932-6203https://www.arca.fiocruz.br/handle/icict/1519810.1371/journal.pone.0139487engPublic Library of ScienceA Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilitiesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFederal University of Grande Dourados. University Hospital. Dourados, MG, BrasilFederal University of Grande Dourados. University Hospital. Dourados, MG, BrasilFederal University of Grande Dourados. University Hospital. Dourados, MG, BrasilFederal University of Grande Dourados. Faculty of Health Sciences. Dourados, MG, BrasilFederal University of Grande Dourados. Faculty of Ambiental and Biological Sciences. Dourados, MS, BrasilFederal University of Mato Grosso do Sul. Department of Biochemical Pharmacy. Campo Grande, BrazilFederal University of Mato Grosso do Sul. Department of Biochemical Pharmacy. Campo Grande, Brazil / Fundação Oswaldo Cruz. Campo Grande, BrasilFederal University of Mato Grosso do Sul. Faculty of Medicine. Campo Grande, BrasilYale School of Public Health. Department of Epidemiology of Microbial Disease. New Haven, Connecticut, USAYale School of Public Health. Department of Epidemiology of Microbial Disease. New Haven, Connecticut, USA / Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilStanford University School of Medicine. Division of Infectious Diseases and Geographic Medicine. Stanford, California, USAFederal University of Grande Dourados. Faculty of Health Sciences. Dourados, MG, Brasil / Fundação Oswaldo Cruz. Campo Grande, BrasilPrior studies have reported higher HIV prevalence among prisoners than the general population in Brazil, but data have been derived from single prisons. The aim of this study was to evaluate HIV testing practices, prevalence and linkage to care among inmates in a network of 12 prisons. Methods We administered a questionnaire to a population-based sample of inmates from 12 prisons in Central-West Brazil and collected sera for HIV and syphilis testing from January to December 2013. We evaluated factors associated with HIV testing and infection using multivariable logistic regression models. Six months after HIV testing, we assessed whether each HIV-infected prisoner was engaged in clinical care and whether they had started antiretroviral therapy. Results We recruited 3,362 inmates, of whom 2,843 (85%) were men from 8 prisons, and 519 (15%) were women from 4 prisons. Forty-five percent of participants reported never having been tested for HIV previously. In multivariable analysis, the variables associated with previous HIV testing were lack of a stable partner (adjusted odds ratio [AOR]: 1.38; 95% CI: 1.18– 1.60), completed more than four years of schooling (AOR 1.40; 95% CI: 1.20–1.64), history of previous incarceration (AOR: 1.68; 95% CI: 1.43–1.98), history of mental illness (AOR 1.52; 95% CI: 1.31–1.78) and previous surgery (AOR 1.31; 95% CI: 1.12–1.52). Fifty-four (1.6%) of all participants tested positive for HIV; this included 44 (1.54%) men and 10 (1.92%) women. Among male inmates, HIV infection was associated with homosexuality (AOR 6.20, 95% CI: 1.73–22.22), self-report of mental illness (AOR 2.18, 95% CI: 1.13– 4.18), history of sexually transmitted infections (AOR 3.28, 95% CI: 1.64–6.56), and syphilis sero-positivity (AOR 2.54, 95% CI: 1.20–5.39). Among HIV-infected individuals, 34 (63%) were unaware of their HIV status; only 23 of these 34 (68%) newly diagnosed participants could be reached at six month follow-up, and 21 of 23 (91%) were engaged in HIV care. Conclusions HIV testing rates among prison inmates are low, and the majority of HIV-infected inmates were unaware of their HIV diagnosis. Incarceration can be an opportunity for diagnosis and treatment of HIV among vulnerable populations who have poor access to health services, but further work is needed on transitional HIV care for released inmates.AgedAnti-retroviral agentHIV infectionsAdultsBrazilMass screeningPrevalenceVulnerable populationsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/15198/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALSgarbi RVE A cross sectional....pdfSgarbi RVE A cross sectional....pdfapplication/pdf945372https://www.arca.fiocruz.br/bitstream/icict/15198/2/Sgarbi%20RVE%20A%20cross%20sectional....pdf64388e9856b8e8adff93ec9eea46e427MD52TEXTSgarbi RVE A cross sectional....pdf.txtSgarbi RVE A cross sectional....pdf.txtExtracted 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| dc.title.pt_BR.fl_str_mv |
A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities |
| title |
A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities |
| spellingShingle |
A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities Sgarbi, Renata Viebrantz Enne Aged Anti-retroviral agent HIV infections Adults Brazil Mass screening Prevalence Vulnerable populations |
| title_short |
A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities |
| title_full |
A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities |
| title_fullStr |
A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities |
| title_full_unstemmed |
A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities |
| title_sort |
A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities |
| author |
Sgarbi, Renata Viebrantz Enne |
| author_facet |
Sgarbi, Renata Viebrantz Enne Carbone, Andrea da Silva Santos Paião, Dayse Sanchez Guimarães Lemos, Everton Ferreira Simionatto, Simone Puga, Marco Antonio Moreira Castro, Ana Rita Coimbra Motta Pompilio, Mauricio Antonio Urrego, Juliana Ko, Albert Icksang Andrews, Jason R Croda, Julio |
| author_role |
author |
| author2 |
Carbone, Andrea da Silva Santos Paião, Dayse Sanchez Guimarães Lemos, Everton Ferreira Simionatto, Simone Puga, Marco Antonio Moreira Castro, Ana Rita Coimbra Motta Pompilio, Mauricio Antonio Urrego, Juliana Ko, Albert Icksang Andrews, Jason R Croda, Julio |
| author2_role |
author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Sgarbi, Renata Viebrantz Enne Carbone, Andrea da Silva Santos Paião, Dayse Sanchez Guimarães Lemos, Everton Ferreira Simionatto, Simone Puga, Marco Antonio Moreira Castro, Ana Rita Coimbra Motta Pompilio, Mauricio Antonio Urrego, Juliana Ko, Albert Icksang Andrews, Jason R Croda, Julio |
| dc.subject.en.pt_BR.fl_str_mv |
Aged Anti-retroviral agent HIV infections Adults Brazil Mass screening Prevalence Vulnerable populations |
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Aged Anti-retroviral agent HIV infections Adults Brazil Mass screening Prevalence Vulnerable populations |
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Federal University of Grande Dourados. University Hospital. Dourados, MG, Brasil |
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2015 |
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2015 |
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SGARBI, R. V. E. et al. A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities. Plos One, v. 10, n. 10, p. e0139487, 2015. |
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10.1371/journal.pone.0139487 |
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SGARBI, R. V. E. et al. A Cross-Sectional Survey of HIV Testing and Prevalence in Twelve Brazilian Correctional Facilities. Plos One, v. 10, n. 10, p. e0139487, 2015. 1932-6203 10.1371/journal.pone.0139487 |
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